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1295484111
GUSTAVO CHAVEZ
SACRAMENTO, CA
NPI
1295484111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-18
Last Update Date
2022-03-18
Business Address
Dr. GUSTAVO CHAVEZ MD
4150 V ST
SACRAMENTO, CA 95817-1460
Phone number: 916-734-5028
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Mailing Address
Dr. GUSTAVO CHAVEZ MD
4150 V ST
SACRAMENTO, CA 95817-1460
Phone number: 916-734-5028
Copy
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